Description: Several employers at the SOA 1997 Palm Desert Spring Meeting discuss their experience implementing managed disability programs of different types. These employers discuss the barriers they needed to overcome to implement their approach to managed disability, and the impact of their managed programs on cost and quality of service.

Description: Panelelists at this session of the SOA 1998 Maui II Spring Meeting discuss the current use of risk adjusters to spread risk among various helath carriers and health plans, and whether the system is effective and equitable.

Description: The session discussion is valuation and reserving issues with regards to group medical - including HMOs, and individual medical - including disability and long-term care. From Record of Society of Actuaries Vol. 16, No. 4B.

Description: This paper proposes a new method to price the longevity risk premia in order to tackle the pricing obstacle. Based on the equivalent utility pricing principle, our method obtains the minimum risk premium required by the longevity insurance seller and the maximum acceptable risk premium by the longevity insurance buyer.

Description: Updates on the efforts of the Academy’s health practice council. its work groups and task forces, to conduct research and educate health care policymakers on issues including principles for market reform, individual insurance, and risk factors.

Description: This panel focuses on the current social and economic issues of health insurance within Canada and the U.S., with particular issues in the United States. From Transactions of Society of Actuaries 1960, Vol. 12, No. 34.

Description: Government credit programs are intended to meet various social and economic objectives. By providing more favorable terms than are available from private lenders, credit programs assist borrowers, including some who could not obtain funds otherwise. From Study of Public Financial Guarantee Programs, M-FI96-2.

Description: Recently, the SCAN Foundation, AARP, LeadingAge, and HHS funded economic modeling conducted by Milliman and the Urban Institute around LTC reform elements. The LTC industry has over the years also generated ideas to address the on-coming expansion of LTC needs in the U.S. For this article, we have brought together three individuals who have long involvement with LTC financing to discuss some of the recent ideas and provide some perspectives on their pluses and minuses.

Description: Disease management [DM] is a health care intervention targeted to individuals with chronic diseases chronics. To justify the investment by payers in DM, it is important to demonstrate beneficial clinical and financial outcomes. This paper analyzes the health cost trends between the chronic and non-chronic populations. Paper 7 of an 8 paper series on 'An Introduction to Care Management Interventions and Their Implications for Actuaries'.

Description: This paper presents an approach to analyzing continuing care retirement community [CCRC] data, and demonstrates the methods using data from a large CCRC. It is assumed that residents make transitions among a number of states that represent the levels of care required by residents. There is randomness associated with both the transition times and the states entered at these times. The model is conveniently characterized in terms of transition intensity functions, which represent the instantaneous rates of transition between pairs of states.